Compressive stress-mediated p38 activation required for ERα + phenotype in breast cancer.


Journal

Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555

Informations de publication

Date de publication:
29 11 2021
Historique:
received: 25 08 2020
accepted: 04 11 2021
entrez: 30 11 2021
pubmed: 1 12 2021
medline: 6 1 2022
Statut: epublish

Résumé

Breast cancer is now globally the most frequent cancer and leading cause of women's death. Two thirds of breast cancers express the luminal estrogen receptor-positive (ERα + ) phenotype that is initially responsive to antihormonal therapies, but drug resistance emerges. A major barrier to the understanding of the ERα-pathway biology and therapeutic discoveries is the restricted repertoire of luminal ERα + breast cancer models. The ERα + phenotype is not stable in cultured cells for reasons not fully understood. We examine 400 patient-derived breast epithelial and breast cancer explant cultures (PDECs) grown in various three-dimensional matrix scaffolds, finding that ERα is primarily regulated by the matrix stiffness. Matrix stiffness upregulates the ERα signaling via stress-mediated p38 activation and H3K27me3-mediated epigenetic regulation. The finding that the matrix stiffness is a central cue to the ERα phenotype reveals a mechanobiological component in breast tissue hormonal signaling and enables the development of novel therapeutic interventions. Subject terms: ER-positive (ER + ), breast cancer, ex vivo model, preclinical model, PDEC, stiffness, p38 SAPK.

Identifiants

pubmed: 34845227
doi: 10.1038/s41467-021-27220-9
pii: 10.1038/s41467-021-27220-9
pmc: PMC8630031
doi:

Substances chimiques

3-(4-(2-(2-chloro-4-fluorophenyl)-1-(1H-indazol-5-yl)but-1-en-1-yl)phenyl)acrylic acid 0
Cinnamates 0
Drug Combinations 0
ESR1 protein, human 0
Estrogen Receptor alpha 0
Histones 0
Indazoles 0
Laminin 0
Proteoglycans 0
Tamoxifen 094ZI81Y45
matrigel 119978-18-6
Fulvestrant 22X328QOC4
Estradiol 4TI98Z838E
Collagen 9007-34-5
EZH2 protein, human EC 2.1.1.43
Enhancer of Zeste Homolog 2 Protein EC 2.1.1.43
p38 Mitogen-Activated Protein Kinases EC 2.7.11.24

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

6967

Informations de copyright

© 2021. The Author(s).

Références

Perou, C. M. et al. Molecular portraits of human breast tumours. Nature 406, 747–752 (2000).
pubmed: 10963602 doi: 10.1038/35021093
Cheang, M. C. et al. Ki67 index, HER2 status, and prognosis of patients with luminal B breast cancer. J. Natl. Cancer Inst. 101, 736–750 (2009).
pubmed: 19436038 pmcid: 2684553 doi: 10.1093/jnci/djp082
Dai, X. et al. Breast cancer intrinsic subtype classification, clinical use and future trends. Am. J. Cancer Res. 5, 2929–2943 (2015).
pubmed: 26693050 pmcid: 4656721
Matutino, A., Joy, A. A., Brezden-Masley, C., Chia, S. & Verma, S. Hormone receptor-positive, HER2-negative metastatic breast cancer: redrawing the lines. Curr. Oncol. 25, S131–S141 (2018).
pubmed: 29910656 pmcid: 6001771 doi: 10.3747/co.25.4000
Fridriksdottir, A. J. et al. Propagation of oestrogen receptor-positive and oestrogen-responsive normal human breast cells in culture. Nat. Commun. 6, 8786 (2015).
pubmed: 26564780 doi: 10.1038/ncomms9786
Dai, X., Cheng, H., Bai, Z. & Li, J. Breast Cancer Cell Line Classification and Its Relevance with Breast Tumor Subtyping. J. Cancer 8, 3131–3141 (2017).
pubmed: 29158785 pmcid: 5665029 doi: 10.7150/jca.18457
Prat, A. et al. Characterization of cell lines derived from breast cancers and normal mammary tissues for the study of the intrinsic molecular subtypes. Breast Cancer Res. Treat. 142, 237–255 (2013).
pubmed: 24162158 pmcid: 3832776 doi: 10.1007/s10549-013-2743-3
Sflomos, G. et al. A Preclinical Model for ERα-Positive Breast Cancer Points to the Epithelial Microenvironment as Determinant of Luminal Phenotype and Hormone Response. Cancer Cell 29, 407–422 (2016).
pubmed: 26947176 doi: 10.1016/j.ccell.2016.02.002
Cottu, P. et al. Modeling of response to endocrine therapy in a panel of human luminal breast cancer xenografts. Breast Cancer Res. Treat. 133, 595–606 (2012).
pubmed: 22002565 doi: 10.1007/s10549-011-1815-5
Powley, I. R. et al. Patient-derived explants (PDEs) as a powerful preclinical platform for anti-cancer drug and biomarker discovery. Br. J. Cancer. 122, 735–744 (2020).
Graham, J. D. et al. DNA replication licensing and progenitor numbers are increased by progesterone in normal human breast. Endocrinology 150, 3318–3326 (2009).
pubmed: 19342456 pmcid: 2703536 doi: 10.1210/en.2008-1630
Tanos, T. et al. Progesterone/RANKL is a major regulatory axis in the human breast. Sci. Transl. Med. 5, 182ra155 (2013).
doi: 10.1126/scitranslmed.3005654
Centenera, M. M. et al. A patient-derived explant (PDE) model of hormone-dependent cancer. Mol. Oncol. 12, 1608–1622 (2018).
pubmed: 30117261 pmcid: 6120230 doi: 10.1002/1878-0261.12354
Sachs, N. et al. A Living Biobank of Breast Cancer Organoids Captures Disease Heterogeneity. Cell 172, 373–386.e310 (2018).
pubmed: 29224780 doi: 10.1016/j.cell.2017.11.010
Cartaxo, A. L. et al. A novel culture method that sustains ERα signaling in human breast cancer tissue microstructures. J. Exp. Clin. Cancer Res. 39, 161 (2020).
pubmed: 32807212 pmcid: 7430012 doi: 10.1186/s13046-020-01653-4
Vidi, P. A., Bissell, M. J. & Lelièvre, S. A. Three-dimensional culture of human breast epithelial cells: the how and the why. Methods Mol. Biol. 945, 193–219 (2013).
pubmed: 23097109 pmcid: 3666567 doi: 10.1007/978-1-62703-125-7_13
Barcellos-Hoff, M. H., Aggeler, J., Ram, T. G. & Bissell, M. J. Functional differentiation and alveolar morphogenesis of primary mammary cultures on reconstituted basement membrane. Development 105, 223–235 (1989).
pubmed: 2806122 doi: 10.1242/dev.105.2.223
Partanen, J. I. et al. Tumor suppressor function of Liver kinase B1 (Lkb1) is linked to regulation of epithelial integrity. Proc. Natl Acad. Sci. USA 109, E388–E397 (2012).
pubmed: 22308451 pmcid: 3289385 doi: 10.1073/pnas.1120421109
Paralkar, V. M., Vukicevic, S. & Reddi, A. H. Transforming growth factor beta type 1 binds to collagen IV of basement membrane matrix: implications for development. Dev. Biol. 143, 303–308 (1991).
pubmed: 1991553 doi: 10.1016/0012-1606(91)90081-D
Taub, M., Wang, Y., Szczesny, T. M. & Kleinman, H. K. Epidermal growth factor or transforming growth factor alpha is required for kidney tubulogenesis in matrigel cultures in serum-free medium. Proc. Natl Acad. Sci. USA 87, 4002–4006 (1990).
pubmed: 2339133 pmcid: 54032 doi: 10.1073/pnas.87.10.4002
Bertula, K. et al. Strain-Stiffening of Agarose Gels. Acs Macro Lett. 8, 670–675 (2019).
doi: 10.1021/acsmacrolett.9b00258
Wu, P. H. et al. A comparison of methods to assess cell mechanical properties. Nat. Methods 15, 491–498 (2018).
pubmed: 29915189 pmcid: 6582221 doi: 10.1038/s41592-018-0015-1
Memmi, E. M. et al. p63 Sustains self-renewal of mammary cancer stem cells through regulation of Sonic Hedgehog signaling. Proc. Natl Acad. Sci. USA 112, 3499–3504 (2015).
pubmed: 25739959 pmcid: 4372004 doi: 10.1073/pnas.1500762112
Chakrabarti, R. et al. ΔNp63 promotes stem cell activity in mammary gland development and basal-like breast cancer by enhancing Fzd7 expression and Wnt signalling. Nat. Cell Biol. 16, 1001–1013 (2014).
doi: 10.1038/ncb3040
Danilov, A. V. et al. DeltaNp63alpha-mediated induction of epidermal growth factor receptor promotes pancreatic cancer cell growth and chemoresistance. PLoS ONE 6, e26815 (2011).
pubmed: 22053213 pmcid: 3203907 doi: 10.1371/journal.pone.0026815
Lee, K. B. et al. p63-Mediated activation of the β-catenin/c-Myc signaling pathway stimulates esophageal squamous carcinoma cell invasion and metastasis. Cancer Lett. 353, 124–132 (2014).
pubmed: 25045846 doi: 10.1016/j.canlet.2014.07.016
Yi, Y. et al. Transcriptional suppression of AMPKα1 promotes breast cancer metastasis upon oncogene activation. Proc. Natl Acad. Sci. USA 117, 8013–8021 (2020).
pubmed: 32193335 pmcid: 7148563 doi: 10.1073/pnas.1914786117
Efroni, S. et al. Global transcription in pluripotent embryonic stem cells. Cell Stem Cell 2, 437–447 (2008).
pubmed: 18462694 pmcid: 2435228 doi: 10.1016/j.stem.2008.03.021
Liu, T. et al. Cistrome: an integrative platform for transcriptional regulation studies. Genome Biol. 12, R83 (2011).
pubmed: 21859476 pmcid: 3245621 doi: 10.1186/gb-2011-12-8-r83
Su, Y. et al. Somatic Cell Fusions Reveal Extensive Heterogeneity in Basal-like Breast Cancer. Cell Rep. 11, 1549–1563 (2015).
pubmed: 26051943 doi: 10.1016/j.celrep.2015.05.011
Chaligné, R. et al. The inactive X chromosome is epigenetically unstable and transcriptionally labile in breast cancer. Genome Res. 25, 488–503 (2015).
pubmed: 25653311 pmcid: 4381521 doi: 10.1101/gr.185926.114
Davis, C. A. et al. The Encyclopedia of DNA elements (ENCODE): data portal update. Nucleic Acids Res. 46, D794–D801 (2018).
pubmed: 29126249 doi: 10.1093/nar/gkx1081
Franco, H. L. et al. Enhancer transcription reveals subtype-specific gene expression programs controlling breast cancer pathogenesis. Genome Res. 28, 159–170 (2018).
pubmed: 29273624 pmcid: 5793780 doi: 10.1101/gr.226019.117
Zhang, G. et al. FOXA1 defines cancer cell specificity. Sci. Adv. 2, e1501473 (2016).
pubmed: 27034986 pmcid: 4803482 doi: 10.1126/sciadv.1501473
Shen, H. et al. Suppression of Enhancer Overactivation by a RACK7-Histone Demethylase Complex. Cell 165, 331–342 (2016).
pubmed: 27058665 pmcid: 4826479 doi: 10.1016/j.cell.2016.02.064
Jani, K. S. et al. Histone H3 tail binds a unique sensing pocket in EZH2 to activate the PRC2 methyltransferase. Proc. Natl Acad. Sci. USA 116, 8295–8300 (2019).
pubmed: 30967505 pmcid: 6486736 doi: 10.1073/pnas.1819029116
McCabe, M. T. et al. EZH2 inhibition as a therapeutic strategy for lymphoma with EZH2-activating mutations. Nature 492, 108–112 (2012).
pubmed: 23051747 doi: 10.1038/nature11606
Anwar, T. et al. p38-mediated phosphorylation at T367 induces EZH2 cytoplasmic localization to promote breast cancer metastasis. Nat. Commun. 9, 2801 (2018).
pubmed: 30022044 pmcid: 6051995 doi: 10.1038/s41467-018-05078-8
Dontu, G. & Ince, T. A. Of mice and women: a comparative tissue biology perspective of breast stem cells and differentiation. J. Mammary Gland Biol. Neoplasia 20, 51–62 (2015).
pubmed: 26286174 pmcid: 4595531 doi: 10.1007/s10911-015-9341-4
Merlin, J. L., Harlé, A., Lion, M., Ramacci, C. & Leroux, A. Expression and activation of P38 MAP kinase in invasive ductal breast cancers: correlation with expression of the estrogen receptor, HER2 and downstream signaling phosphorylated proteins. Oncol. Rep. 30, 1943–1948 (2013).
pubmed: 23900300 doi: 10.3892/or.2013.2645
Johnston, S. J. et al. Co-expression of nuclear P38 and hormone receptors is prognostic of good long-term clinical outcome in primary breast cancer and is linked to upregulation of DNA repair. BMC Cancer 18, 1027 (2018).
pubmed: 30352570 pmcid: 6199714 doi: 10.1186/s12885-018-4924-2
Wang, B., Jiang, H., Ma, N. & Wang, Y. Phosphorylated-p38 mitogen-activated protein kinase expression is associated with clinical factors in invasive breast cancer. Springerplus 5, 934 (2016).
pubmed: 27386378 pmcid: 4929108 doi: 10.1186/s40064-016-2636-0
Kleer, C. G. et al. EZH2 is a marker of aggressive breast cancer and promotes neoplastic transformation of breast epithelial cells. Proc. Natl Acad. Sci. USA 100, 11606–11611 (2003).
pubmed: 14500907 pmcid: 208805 doi: 10.1073/pnas.1933744100
Yomtoubian, S. et al. Inhibition of EZH2 Catalytic Activity Selectively Targets a Metastatic Subpopulation in Triple-Negative Breast Cancer. Cell Rep. 30, 755–770.e756 (2020).
pubmed: 31968251 doi: 10.1016/j.celrep.2019.12.056
Hawley, J. R. et al. Quantification of breast stiffness using MR elastography at 3 Tesla with a soft sternal driver: A reproducibility study. J. Magn. Reson Imaging 45, 1379–1384 (2017).
pubmed: 27779802 doi: 10.1002/jmri.25511
McConnell, J. C. et al. Increased peri-ductal collagen micro-organization may contribute to raised mammographic density. Breast Cancer Res. 18, 5 (2016).
pubmed: 26747277 pmcid: 4706673 doi: 10.1186/s13058-015-0664-2
Li, T. et al. The association of measured breast tissue characteristics with mammographic density and other risk factors for breast cancer. Cancer Epidemiol. Biomark. Prev. 14, 343–349 (2005).
doi: 10.1158/1055-9965.EPI-04-0490
McCormack, V. A. & dos Santos Silva, I. Breast density and parenchymal patterns as markers of breast cancer risk: a meta-analysis. Cancer Epidemiol. Biomark. Prev. 15, 1159–1169 (2006).
doi: 10.1158/1055-9965.EPI-06-0034
Boyd, N. F. et al. Mammographic density and the risk and detection of breast cancer. N. Engl. J. Med. 356, 227–236 (2007).
pubmed: 17229950 doi: 10.1056/NEJMoa062790
Yaghjyan, L. et al. Mammographic breast density and subsequent risk of breast cancer in postmenopausal women according to tumor characteristics. J. Natl Cancer Inst. 103, 1179–1189 (2011).
pubmed: 21795664 pmcid: 3149043 doi: 10.1093/jnci/djr225
Roswall, P. et al. Microenvironmental control of breast cancer subtype elicited through paracrine platelet-derived growth factor-CC signaling. Nat. Med. 24, 463–473 (2018).
pubmed: 29529015 pmcid: 5896729 doi: 10.1038/nm.4494
Chaffer, C. L. & Weinberg, R. A. Cancer cell of origin: spotlight on luminal progenitors. Cell Stem Cell 7, 271–272 (2010).
pubmed: 20804960 pmcid: 2941878 doi: 10.1016/j.stem.2010.08.008
Wiersma, M. et al. Protein kinase Msk1 physically and functionally interacts with the KMT2A/MLL1 methyltransferase complex and contributes to the regulation of multiple target genes. Epigenetics Chromatin 9, 52 (2016).
pubmed: 27895715 pmcid: 5106815 doi: 10.1186/s13072-016-0103-3
Gawrzak, S. et al. MSK1 regulates luminal cell differentiation and metastatic dormancy in ER. Nat. Cell Biol. 20, 211–221 (2018).
pubmed: 29358704 doi: 10.1038/s41556-017-0021-z
Soloaga, A. et al. MSK2 and MSK1 mediate the mitogen- and stress-induced phosphorylation of histone H3 and HMG-14. EMBO J. 22, 2788–2797 (2003).
pubmed: 12773393 pmcid: 156769 doi: 10.1093/emboj/cdg273
Paszek, M. J. et al. Tensional homeostasis and the malignant phenotype. Cancer Cell 8, 241–254 (2005).
pubmed: 16169468 doi: 10.1016/j.ccr.2005.08.010
Clarke, R. B., Howell, A., Potten, C. S. & Anderson, E. Dissociation between steroid receptor expression and cell proliferation in the human breast. Cancer Res 57, 4987–4991 (1997).
pubmed: 9371488
Wu, J. & Crowe, D. L. The histone methyltransferase EZH2 promotes mammary stem and luminal progenitor cell expansion, metastasis and inhibits estrogen receptor-positive cellular differentiation in a model of basal breast cancer. Oncol. Rep. 34, 455–460 (2015).
pubmed: 25998860 doi: 10.3892/or.2015.4003
Omana, D. A. & Wu, J. A new method of separating ovomucin from egg white. J. Agric Food Chem. 57, 3596–3603 (2009).
pubmed: 19348475 doi: 10.1021/jf8030937
Subramanian, A. et al. Gene set enrichment analysis: a knowledge-based approach for interpreting genome-wide expression profiles. Proc. Natl Acad. Sci. USA 102, 15545–15550 (2005).
pubmed: 16199517 pmcid: 1239896 doi: 10.1073/pnas.0506580102
Merico, D., Isserlin, R., Stueker, O., Emili, A. & Bader, G. D. Enrichment map: a network-based method for gene-set enrichment visualization and interpretation. PLoS ONE 5, e13984 (2010).
pubmed: 21085593 pmcid: 2981572 doi: 10.1371/journal.pone.0013984
Macosko, E. Z. et al. Highly Parallel Genome-wide Expression Profiling of Individual Cells Using Nanoliter Droplets. Cell 161, 1202–1214 (2015).
pubmed: 26000488 pmcid: 4481139 doi: 10.1016/j.cell.2015.05.002
Kangaspeska, S. et al. Systematic drug screening reveals specific vulnerabilities and co-resistance patterns in endocrine-resistant breast cancer. BMC Cancer 16, 378 (2016).
pubmed: 27378269 pmcid: 4932681 doi: 10.1186/s12885-016-2452-5
Livak, K. J. & Schmittgen, T. D. Analysis of relative gene expression data using real-time quantitative PCR and the 2(-Delta Delta C(T)) Method. Methods 25, 402–408 (2001).
pubmed: 11846609 doi: 10.1006/meth.2001.1262
Abbott, J., Ergeneman, O., Kummer, M., Hirt, A. & Nelson, B. Modeling magnetic torque and force for controlled manipulation of soft-magnetic bodies. Ieee Trans. Robot. 23, 1247–1252 (2007).
doi: 10.1109/TRO.2007.910775
Brewin, M. P. et al. Characterisation of Elastic and Acoustic Properties of an Agar-Based Tissue Mimicking Material. Ann. Biomed. Eng. 43, 2587–2596 (2015).
pubmed: 25773982 doi: 10.1007/s10439-015-1294-7

Auteurs

Pauliina M Munne (PM)

Finnish Cancer Institute, FICAN South Helsinki University Hospital & Translational Cancer Medicine, Medical Faculty, University of Helsinki. Cancer Cell Circuitry Laboratory, PO Box 63 Haartmaninkatu 8, 00014 University of Helsinki, Helsinki, Finland.

Lahja Martikainen (L)

Department of Applied Physics, Molecular Materials Group, Aalto University School of Science, PO Box, 15100, FI-00076, Espoo, Finland.

Iiris Räty (I)

Finnish Cancer Institute, FICAN South Helsinki University Hospital & Translational Cancer Medicine, Medical Faculty, University of Helsinki. Cancer Cell Circuitry Laboratory, PO Box 63 Haartmaninkatu 8, 00014 University of Helsinki, Helsinki, Finland.

Kia Bertula (K)

Department of Applied Physics, Molecular Materials Group, Aalto University School of Science, PO Box, 15100, FI-00076, Espoo, Finland.
Department of Applied Physics, Molecular Materials Group, Aalto University School of Science, PO Box, 15100, FI-00076, Espoo, Finland.
Department of Bioproducts and Biosystems, Aalto University School of Chemical Engineering, Espoo, Finland.

Janika Ruuska (J)

Finnish Cancer Institute, FICAN South Helsinki University Hospital & Translational Cancer Medicine, Medical Faculty, University of Helsinki. Cancer Cell Circuitry Laboratory, PO Box 63 Haartmaninkatu 8, 00014 University of Helsinki, Helsinki, Finland.

Hanna Ala-Hongisto (H)

Finnish Cancer Institute, FICAN South Helsinki University Hospital & Translational Cancer Medicine, Medical Faculty, University of Helsinki. Cancer Cell Circuitry Laboratory, PO Box 63 Haartmaninkatu 8, 00014 University of Helsinki, Helsinki, Finland.

Aino Peura (A)

Finnish Cancer Institute, FICAN South Helsinki University Hospital & Translational Cancer Medicine, Medical Faculty, University of Helsinki. Cancer Cell Circuitry Laboratory, PO Box 63 Haartmaninkatu 8, 00014 University of Helsinki, Helsinki, Finland.

Babette Hollmann (B)

Finnish Cancer Institute, FICAN South Helsinki University Hospital & Translational Cancer Medicine, Medical Faculty, University of Helsinki. Cancer Cell Circuitry Laboratory, PO Box 63 Haartmaninkatu 8, 00014 University of Helsinki, Helsinki, Finland.

Lilya Euro (L)

Research Program of Stem Cells and Metabolism, Biomedicum Helsinki, University of Helsinki, 00290, Helsinki, Finland.

Kerim Yavuz (K)

Applied Tumor Genomics Research Program, Enhancer Biology Laboratory, Faculty of Medicine, University of Helsinki, Helsinki, Finland.

Linda Patrikainen (L)

Finnish Cancer Institute, FICAN South Helsinki University Hospital & Translational Cancer Medicine, Medical Faculty, University of Helsinki. Cancer Cell Circuitry Laboratory, PO Box 63 Haartmaninkatu 8, 00014 University of Helsinki, Helsinki, Finland.

Maria Salmela (M)

Finnish Cancer Institute, FICAN South Helsinki University Hospital & Translational Cancer Medicine, Medical Faculty, University of Helsinki. Cancer Cell Circuitry Laboratory, PO Box 63 Haartmaninkatu 8, 00014 University of Helsinki, Helsinki, Finland.

Juho Pokki (J)

Department of Electrical Engineering and Automation, Aalto University, Espoo, Finland.

Mikko Kivento (M)

Applied Tumor Genomics Research Program, Faculty of Medicine, Oncogenomics Laboratory, University of Helsinki, Helsinki, Finland.

Juho Väänänen (J)

Applied Tumor Genomics Research Program, Faculty of Medicine, Oncogenomics Laboratory, University of Helsinki, Helsinki, Finland.

Tomi Suomi (T)

Turku Bioscience Centre, University of Turku and Åbo Akademi University, FI-20520, Turku, Finland.

Liina Nevalaita (L)

Finnish Cancer Institute, FICAN South Helsinki University Hospital & Translational Cancer Medicine, Medical Faculty, University of Helsinki. Cancer Cell Circuitry Laboratory, PO Box 63 Haartmaninkatu 8, 00014 University of Helsinki, Helsinki, Finland.

Minna Mutka (M)

Department of Pathology, HUSLAB and Haartman Institute, Helsinki University Central Hospital and University of Helsinki, Helsinki, Finland.

Panu Kovanen (P)

Department of Pathology, HUSLAB and Haartman Institute, Helsinki University Central Hospital and University of Helsinki, Helsinki, Finland.

Marjut Leidenius (M)

Breast Surgery Unit, Helsinki University Central Hospital, Helsinki, Finland.

Tuomo Meretoja (T)

Breast Surgery Unit, Helsinki University Central Hospital, Helsinki, Finland.

Katja Hukkinen (K)

Department of Mammography, Helsinki University Central Hospital, Helsinki, Finland.

Outi Monni (O)

Applied Tumor Genomics Research Program, Faculty of Medicine, Oncogenomics Laboratory, University of Helsinki, Helsinki, Finland.

Jeroen Pouwels (J)

Finnish Cancer Institute, FICAN South Helsinki University Hospital & Translational Cancer Medicine, Medical Faculty, University of Helsinki. Cancer Cell Circuitry Laboratory, PO Box 63 Haartmaninkatu 8, 00014 University of Helsinki, Helsinki, Finland.

Biswajyoti Sahu (B)

Applied Tumor Genomics Research Program, Enhancer Biology Laboratory, Faculty of Medicine, University of Helsinki, Helsinki, Finland.

Johanna Mattson (J)

Department of Oncology, University of Helsinki & Helsinki University Hospital, Helsinki, Finland.

Heikki Joensuu (H)

Department of Oncology, University of Helsinki & Helsinki University Hospital, Helsinki, Finland.

Päivi Heikkilä (P)

Department of Pathology, HUSLAB and Haartman Institute, Helsinki University Central Hospital and University of Helsinki, Helsinki, Finland.

Laura L Elo (LL)

Turku Bioscience Centre, University of Turku and Åbo Akademi University, FI-20520, Turku, Finland.

Ciara Metcalfe (C)

Genentech Inc., 1 DNA Way, South San Francisco, CA, 94080, USA.

Melissa R Junttila (MR)

Genentech Inc., 1 DNA Way, South San Francisco, CA, 94080, USA.

Olli Ikkala (O)

Department of Applied Physics, Molecular Materials Group, Aalto University School of Science, PO Box, 15100, FI-00076, Espoo, Finland.
Department of Bioproducts and Biosystems, Aalto University School of Chemical Engineering, Espoo, Finland.

Juha Klefström (J)

Finnish Cancer Institute, FICAN South Helsinki University Hospital & Translational Cancer Medicine, Medical Faculty, University of Helsinki. Cancer Cell Circuitry Laboratory, PO Box 63 Haartmaninkatu 8, 00014 University of Helsinki, Helsinki, Finland. Juha.Klefstrom@helsinki.fi.

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